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Click ‘Get Form’ to open the Amendment Employer’s Quarter Tax & Wage Report in the editor.
Begin by entering the employer's name, address, and contact person's telephone number in the designated fields.
Input the Employer ID assigned by the agency. If applicable, include both consolidated and branch account numbers.
Specify the quarter and year for correction using the format Q-YYYY (e.g., 1-2023). Remember, a separate form is needed for each quarter.
Enter the applicable UI tax rate for the year being corrected in the provided field.
(A) Fill in wages paid this quarter subject to law; (B) deduct any excess wages per employee; (C) calculate wages subject to tax by entering amounts in both 'as reported' and 'as corrected' columns.
Complete sections for tax due, additional tax due, interest due, and late payment penalty as necessary.
For individual employee corrections, enter their Social Security Number, name, previously reported wages, and correct amounts.
Provide a reason for adjustments and ensure you sign and date the form before submission.
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